Individual
TINA MARIE GUYNN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCC
Contact information
Practice address
4600 EDMUNDSON RD, SAINT LOUIS, MO 63134-3806
(317) 583-4707
Mailing address
4600 EDMUNDSON RD, SAINT LOUIS, MO 63134-3806
Taxonomy
Speciality
Code
Description
License number
State
374K00000X
Religious Nonmedical Practitioner
Primary
64581
—
Other
Enumeration date
06/28/2023
Last updated
06/28/2023
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